The purpose of this survey is to gather information from family members and those caring for children with disabilities about resources and information they have found useful in learning about their child’s developmental and special education services. All information provided in completing the survey is confidential and will not be linked back to you. 

The Ohio Inclusion State Leadership Team intends to use the information to create a statewide online resource guide for parents/caregivers and professionals.

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* 1. In order to make sure our resource guide covers all potential areas of service, we would like to know where your child receives their education and/or services – examples: early intervention, special education, medical, mental health, etc. (check all that apply):

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* 2. We intend to make sure our resource guide covers all potential areas of service, we would like to know which of the following individuals or resources have been the helpful in learning about and supporting your child’s developmental and/or educational needs.  (check all that apply):

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* 3. Out of the individuals or resources I indicated helping me understand my child’s educational needs, I find that these are the top 3 that have been the most helpful: (choose up to 3)

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* 4. I receive supports from the following individuals and/or agencies in helping me understand my child’s developmental, social and emotional needs (check all that apply):

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* 5. Out of the individuals or resources I indicated in helping me understand my child’s social and emotional needs, I find that these are the top 3 that have been the most helpful: (Choose up to 3)

This section asks questions related to your needs as a parent/caregiver. 

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* 6. Where do you find the best sources of support for your role as a parent/caregiver?  (Check all that apply)

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* 7. What sources of support do you access the most? (Check all that apply)

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* 8. Out of the individuals or resources that you indicated are helpful in providing you support in your role as a parent/caregiver, the top three that have been the most helpful are: (Choose up to 3)

This next question asks about any roadblocks or obstacles you have encountered in meeting the developmental, social, emotional, or educational needs for your child.

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* 9. I have experienced the following in meeting my child’s developmental, social, emotional, or educational needs (choose all that apply):

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* 10. Tell us about yourself. I am a… (check all that apply)

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